Medical Center Pain Clinic
David P. Ellis, M.D.
701 NE 10th Street. Oklahoma City, OK 73104 Pre-Procedure Instructions
1. To reduce your risk of infection, please take a bath or shower the morning of your scheduled procedure. If your procedure involves face or neck, please wash hair as well. 2. Remove nail polish from two fingers. 3. Stop aspirin, ibuprofen products, naproxen (Aleve), anti-inflammatory medications and any over the counter medications 7 days prior to procedure. Stop the following: Alka Seltzer, Pepto Bismol, and Herbal Medication (Ginko, high dose Vitamin E) 7 days prior to procedure. 4. If you receive sedation, you MUST have someone drive you home from the facility. A bus or taxi driver is acceptable. Your driver must be available to pick you up at the end of your procedure. 5. Eat a light meal within 6 hours of your procedure. Please take your morning medications. 6. Please inform us if you are diabetic, pregnant, have an artificial joint, have a pacemaker or any 7. Please notify the office if you are on any blood thinners, for example: Coumadin, Plavix, Ticlid, Pradaxa, Effient, Pletal and Integrilin. 8. If you need to cancel or reschedule your appointment, please contact our office 24-48 hours in 9. You will be monitored by the clinical staff for approximately 20 minutes up to 1 hour after your procedure. Plan to be here for 1.5 to 2 hours. 10. We ask that you leave your valuables at home. Post-Procedure Instructions

In general, for 8 hours following your anesthesia:
DO NOT drink alcohol or use non-prescription medications.
DO NOT drive a car or operate dangerous machinery.
DO NOT make important decisions.
Epidural Injections/Facet Block/Selective Nerve Block/SI Injection/Trigger Point
The injection you received contained local anesthetic and anti-inflammatory medication. Due to the
local anesthetic, you may have decreased pain and possibly numbness for 4 to 5 hours. You may
have some pain at the injection site and/or some temporary increase in your pain, but both should
return to normal within 1 to 2 days. Remember, it may take up to a full week after the injection of
medication before receiving the full benefit. To help reduce pain and increase mobility during your
recovery period after the injection, try stretching exercises and apply ice over the injection site 4 times
a day for 10 minutes at a time. Follow your physician's treatment plan including physical therapy as
instructed. You may have numbness. Do not use stairs or engage in strenuous activities until the
numbness has worn off and full strength has returned to your extremities. Your arms and legs may be
Joint Injection
You may have decreased pain and possibly numbness for 4 to 5 hours. This is due to the local
anesthetic. You may have some pain at the injection site and/or some temporary increase in your
pain, both should return to normal within 2 days.
Spinal Cord Stimulator (Trials)
Do not restart your blood thinners until your wires have been removed.

Source: http://www.ellispainmanagementok.com/docs/Pre%20Op%20Post%20Op%20Instructions.pdf

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